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Articles Of Exchange Domestic Business Corporation Form. This is a Pennsylvania form and can be use in Domestic Business Corporation Department Of State.
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Tags: Articles Of Exchange Domestic Business Corporation, DSCB 15-1931, Pennsylvania Department Of State, Domestic Business Corporation
PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Articles of Exchange
Domestic Business Corporation
(15 Pa.C.S. §1931)
Document will be returned to the
name and address you enter to
the left.
Name
Address
City
State
Zip Code
Fee: $70
In compliance with the requirements of 15 Pa.C.S. § 1931(e) (relating to articles of exchange), the undersigned business
corporation, desiring to effect an exchange, hereby states that:
1. The name of the exchanging corporation is:
2. The (a) address of its initial registered office in this Commonwealth or (b) name of its commercial registered
office provider and the county of venue is (the Department is hereby authorized to correct the following
information to conform to the records of the Department):
(a) Number and street
City
State
Zip
County
(b) Name of Commercial Registered Office Provider
County
c/o
3. Check and if appropriate complete, one of the following:
The plan of exchange shall be effective upon filing these Articles of Exchange in the Department of State.
The plan of exchange shall be effective on:
at
Date
.
Hour
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DSCB:15-1931-2
4. Check one of the following:
The plan of exchange was adopted by act of the shareholders (or members) pursuant to 15 Pa.C.S. § 1905.
The plan of exchange was adopted by the directors and shareholders (or members) pursuant to 15 Pa.C.S. §§
1924(a) and 1931(c).
5. Check, and if appropriate complete, one of the following:
The plan of exchange is set forth in full in Exhibit A attached hereto and made a part hereof.
Pursuant to 15 Pa.C.S. § 1901 (relating to omission of certain provisions from filed plans) the provisions, if
any, of the plan of exchange that amend or constitute the operative Articles of Incorporation of the
exchanging corporation as in effect subsequent to the effective date of the plan is set forth in full in
Exhibit A attached hereto and made a part hereof. The full text of the plan of exchange is on file at the
principal place of business of the exchanging corporation, the address of which is:
Number and street
City
State
Zip
County
IN TESTIMONY WHEREOF, the undersigned
corporation has caused these Articles of exchange to be
signed by a duly authorized officer thereof this
day of
,
.
Name of Corporation
Signature
Title
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Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site: www.dos.state.pa.us/corps
Instructions for Completion of Form:
A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit
reproduction. The filing fee for this form is $70 made payable to the Department of State.
B. Under 15 Pa.C.S. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an address,
and the Department of State is required to refuse to receive or file any document that sets forth only a post office box
address.
C. The following, in addition to the filing fee, shall accompany this form:
(1) Any necessary copies of form DSCB:17.2.3 (Consent to Appropriation of Name) shall
accompany Articles of Exchange effecting a change of name, and the change in name shall contain a
statement of the complete new name.
(2) Any necessary governmental approvals.
D. The effective date in Paragraph 3 may not be prior to the filing date, but the plan of exchange may state a prior
effective date "for accounting purposes only."
E. If the second option in Paragraph 5 is checked, the exchanging corporation is required by 15 Pa.C.S. § 1901 (relating
to omission of certain provisions from filed plans) to furnish a copy of the full text of the plan, on request and
without cost, to any shareholder and, unless the exchanging corporation is a closely-held corporation as defined in 15
Pa.C.S. § 1103 (relating to definitions), on request and at cost to any other person.
F. This form and all accompanying documents shall be mailed to the address stated above.
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